The impact of lower thoracic versus upper lumbar upper instrumented vertebra in minimally invasive correction of adult spinal deformity
Selecting a UL vertebra for UIV in minimally invasive surgical correction of adult spinal deformity results in lower reoperation rates compared to extending fixation to the LT region. This choice also correlates with shorter operating room times and reduced estimated blood loss. Although extending fixation to the LT region is associated with slightly greater lumbar lordosis and a greater change in the coronal Cobb angle, clinical outcomes were similar between the LT and UL groups for UIV.
Authors
- Adam S. Kanter (ORCID: https://orcid.org/0009-0007-4200-632X)
- Pierce D. Nunley (ORCID: https://orcid.org/0000-0002-8670-5532)
- Paul Park (ORCID: https://orcid.org/0000-0002-0375-396X)
- David O. Okonkwo (ORCID: https://orcid.org/0000-0002-7444-2851)
- Praveen V. Mummaneni (ORCID: https://orcid.org/0000-0001-5501-7262)
- Juan S. Uribe (ORCID: https://orcid.org/0000-0002-8910-6578)
- Khoi D. Than (ORCID: https://orcid.org/0000-0003-2026-7004)
- Gregory M. Mundis (ORCID: https://orcid.org/0000-0002-1483-7245)
- Richard G. Fessler (ORCID: https://orcid.org/0000-0002-7432-0950)
- Neel Anand (ORCID: https://orcid.org/0000-0003-4565-6612)
- Dean Chou (ORCID: https://orcid.org/0000-0003-0310-8263)
- Stacie Tran
- Kai-Ming Fu
- Michael Y. Wang (ORCID: https://orcid.org/0000-0002-6997-5995)
- Jay I. Kumar
- Robert K. Eastlack (ORCID: https://orcid.org/0000-0003-2359-1707)
Institutions
- Cedars-Sinai Medical Center (US)
- Barrow Neurological Institute (US)
- University of Miami (US)
- University of California, San Francisco (US)
- Neurosciences Institute (US)
- Cornell University (US)
- University of South Florida (US)
- Spine Institute of Louisiana (US)
- Semmes Murphey Foundation (US)
- Duke Medical Center (US)
- University of Pittsburgh Medical Center (US)
- San Diego Spine Institute (US)
- Scripps Clinic (US)
- Duke University Hospital (US)
- Neurological Surgery (US)
- Rush University (US)
- Columbia University (US)
Publication Details
- Journal
- Journal of Neurosurgery Spine
- Published
- 2025-01-10
- DOI
- https://doi.org/10.3171/2024.8.spine231335
- Primary Topic
- Scoliosis diagnosis and treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00